SAVE ON

inhaler inhaler

MOST PATIENTS

PAY ONLY $20

FOR THEIR ONE PRESCRIPTION FILL**

GET A PRINTABLE SAVINGS CARD that can be used at any pharmacy.

**
Certain limits and restrictions apply. Please see Terms and Conditions.
Fill in the short form below to see if you are eligible for the Savings Card

*Required field

YES

NO

*
Are your prescriptions paid for in part or in full by any state or other federally funded programs, including but not limited to Medicare or Medicaid, Medigap, VA, DOD, TRICARE, or by private health benefit programs which reimburse you for the entire cost of your prescription drugs?

We're sorry—based on the information you provided, you are not eligible.

*
Are you a resident of the United States or the Commonwealth of Puerto Rico?

We're sorry—the Instant Savings Card is only available to residents of the United States or the Commonwealth of Puerto Rico.

 *
I have read, understand and agree to the Terms and Conditions of the coupon. I certify that I am not eligible for coverage from Medicare, Medicaid or any other government funded healthcare program.

We're sorry—you are not eligible unless you agree to this statement.